Individual
MICHAEL JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
125 PARKER HILL AVENUE, BOSTON, MA 02120
(617) 754-5000
Mailing address
167 HEMLOCK RIDGE RD, SOUTHBURY, CT 06488-3227
(203) 695-2896
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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